Tuberculosis brain abscesses (TBA) are an unusual clinical presentation of central nervous system
tuberculosis occurring extremely infrequently in developed countries, and almost always in immunocompromised patients like in AIDS
. Before the introduction of highly active antiretroviral therapy, TBA was associated with a high mortality rate
in AIDS patients. The HIV infected patient presenting with multiple TBA who recovered completely with a combination of HAART and anti-tuberculosis treatment
. Current anti-tuberculous drugs are highly effective when treatment is initiated early, before the onset of altered mentation or focal neurologic deficits
. Because the clinical outcome depends greatly on the stage at which therapy is initiated, early recognition is of paramount importance.